Magi Medicaid Cover Oregon, or Oregon Health Plan (OHP), is a health insurance program that provides coverage to people who qualify based on their income and situation. OHP covers a wide range of services, including doctor visits, hospital stays, prescriptions, mental health care, and more. The program is available to Oregon residents who are pregnant, children under 19, adults with disabilities, and low-income adults who meet certain criteria. If you qualify, OHP can help you get the health care you need to stay healthy and well.
Who Qualifies for Oregon’s Medicaid Expansion?
Oregon’s Medicaid expansion, known as the Oregon Health Plan (OHP), offers comprehensive health coverage to low-income individuals and families. To qualify, applicants must meet certain eligibility criteria, including:
- Income: Individuals and families must have an income at or below 138% of the federal poverty level (FPL).
- Residency: Applicants must be residents of the state of Oregon.
- Citizenship or Immigration Status: U.S. citizens, lawful permanent residents, and certain other qualified immigrants are eligible.
- Age: Children, pregnant women, and adults up to age 65 are eligible.
- Disability: Individuals with disabilities may also qualify for OHP, regardless of their income.
What Health Benefits Does Oregon’s Medicaid Expansion Cover?
OHP provides a wide range of essential health benefits, including:
- Doctor’s visits and specialist care
- Hospitalization
- Emergency services
- Mental health and substance abuse treatment
- Laboratory and X-ray services
- Prescription drugs
- Family planning services
- Dental care
- Vision care
- Hearing aids
- Medical equipment and supplies
How to Apply for Oregon’s Medicaid Expansion
Individuals and families can apply for OHP online, by phone, or through a local office of the Oregon Health Authority (OHA). The application process typically includes providing information about income, household size, and immigration status. Applications are reviewed and processed by the OHA, and eligible individuals and families will receive a notification of their approval.
Additional Resources
For more information about Oregon’s Medicaid expansion, visit the Oregon Health Authority website or call the OHA Customer Service Center at 1-800-699-9075.
| Category | Income Limit (% of FPL) |
|---|---|
| Adults (19-64) | 138% |
| Children (0-18) | 138% |
| Pregnant Women | 138% |
| Disabled Individuals | No Income Limit |
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Preventive and Routine Checkups
OHP covers regular doctor’s visits, screenings, and preventive care to help maintain overall health and prevent illnesses. This includes annual checkups, physical exams, and screenings for diseases like hypertension, diabetes, and cancer.
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Inpatient and Outpatient Services
OHP provides coverage for both inpatient hospital stays and outpatient medical care. Inpatient services include hospital room and board, medical care during hospitalization, and necessary surgeries. Outpatient services encompass visits to clinics, doctor’s offices, and other healthcare facilities for medical consultations, treatments, and procedures.
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Emergency Medical Care
OHP covers emergency medical services, including ambulance transportation and treatment in emergency departments. This ensures that individuals have access to immediate and lifesaving care in case of urgent medical situations.
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Dental Care
OHP includes coverage for routine dental care, such as cleanings, fillings, and x-rays. The program also covers more comprehensive dental services like root canals, crowns, and bridges, ensuring that individuals have access to oral healthcare.
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Mental Health and Substance Use Treatment
OHP recognizes the importance of mental health and addiction treatment. It covers a wide range of services, including inpatient and outpatient mental health services, as well as substance abuse counseling and detoxification programs. These services aim to provide support and treatment for individuals struggling with mental health conditions and substance use disorders.
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Pharmacy Services
OHP provides coverage for prescription drugs, ensuring that individuals have access to necessary medications for managing their health conditions. The program covers a wide range of medications, including generic and brand-name drugs, with a copay or coinsurance at varying rates.
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Long-Term Care and Home Health Services
OHP offers coverage for long-term care services, including nursing home care, assisted living facilities, and home health services. This helps individuals with chronic conditions or disabilities receive the support they need to maintain their independence and quality of life.
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Vision and Hearing Services
OHP covers vision and hearing services, such as eye exams, eyeglasses, and hearing aids. These services are crucial for maintaining good vision and hearing and preventing any complications or further deterioration.
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Transportation Services
OHP recognizes the importance of transportation in accessing healthcare services. It provides coverage for transportation to and from medical appointments, ensuring that individuals can get to their scheduled appointments without any barriers.
Covered Medical Services Under Oregon’s Medicaid Expansion
Oregon’s Medicaid expansion under the Affordable Care Act, also known as the Oregon Health Plan (OHP), covers various medical services for eligible Oregon residents. The services covered under OHP are extensive and aim to provide comprehensive healthcare to low-income individuals and families in the state. Here’s an overview of the key covered medical services:
Income and Asset Limits for Oregon’s Medicaid Expansion
The expansion of Medicaid in Oregon under the Affordable Care Act (ACA) has made health insurance available to more people than ever before. To be eligible for Oregon’s Medicaid expansion, you must meet certain income and asset limits. These limits are based on the federal poverty level (FPL), which is a measure of how much money a family needs to earn in order to meet basic needs.
Income Limits for Oregon’s Medicaid Expansion
- For individuals, the income limit is 138% of the FPL.
- For families, the income limit is 138% of the FPL for the family size.
The following table shows the income limits for Oregon’s Medicaid expansion for different family sizes:
| Family Size | Income Limit |
|---|---|
| 1 | $17,652 |
| 2 | $23,796 |
| 3 | $30,092 |
| 4 | $36,260 |
| 5 | $42,612 |
| 6 | $48,748 |
| 7 | $55,052 |
| 8 | $61,136 |
Asset Limits for Oregon’s Medicaid Expansion
- For individuals, the asset limit is $2,000.
- For families, the asset limit is $4,000.
Assets that are not counted towards the asset limit include:
- Your home and the land it is on
- One car per person
- Household goods and personal belongings
- Money in a retirement account
If you meet the income and asset limits, you may be eligible for Oregon’s Medicaid expansion. To apply for Medicaid, you can visit the Oregon Health Authority website or call the Oregon Health Plan Customer Service Center at 1-800-699-9075.
Oregon’s Medicaid Expansion: What It Covers and How to Apply
Oregon’s Medicaid expansion, also known as the Oregon Health Plan (OHP), provides health insurance coverage to low-income adults who meet certain eligibility requirements. The program covers a wide range of health care services, including doctor visits, hospital stays, prescription drugs, mental health care, and substance abuse treatment.
Covered Services
- Doctor visits
- Hospital stays
- Prescription drugs
- Mental health care
- Substance abuse treatment
- Dental care
- Vision care
- Hearing aids
- Durable medical equipment
- Home health care
- Nursing home care
Eligibility Requirements
To be eligible for Oregon’s Medicaid expansion, you must meet the following requirements:
- Be a resident of Oregon
- Be between the ages of 19 and 64
- Have a household income at or below 138% of the federal poverty level
- Not be eligible for Medicare or other health insurance
Application Process
To apply for Oregon’s Medicaid expansion, you can:
- Go to the Oregon Health Authority website and fill out an online application
- Call the Oregon Health Authority at 1-800-699-9075
- Visit your local county health department
You will need to provide the following information when you apply:
- Your name, address, and contact information
- Your Social Security number
- Your date of birth
- Your household income
- Proof of your residency in Oregon
Once you have submitted your application, it will be reviewed by the Oregon Health Authority. If you are eligible for coverage, you will receive a letter in the mail with your Medicaid card. You can start using your Medicaid card to access health care services immediately.
| Service | Covered | Not Covered |
|---|---|---|
| Doctor visits | Yes | No |
| Hospital stays | Yes | No |
| Prescription drugs | Yes | No |
| Mental health care | Yes | No |
| Substance abuse treatment | Yes | No |
| Dental care | Yes | No |
| Vision care | Yes | No |
| Hearing aids | Yes | No |
| Durable medical equipment | Yes | No |
| Home health care | Yes | No |
| Nursing home care | Yes | No |
Thanks for hanging out with me while we dove into the fascinating world of Oregon Medicaid and all it covers, my friend! By now, you should be an expert on the topic. If you ever find yourself scratching your head again, feel free to drop by for another visit. I’ll be here, ready to guide you through the Medicaid maze. Until then, keep on rockin’ that healthy lifestyle, and remember: Medicaid’s got your back!